| NPI | 1336137330 |
|---|---|
| Former Name | PATRICK GARY O'DONNELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-108929) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036108929) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036-108929) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-01-03 |